Accounts Receivable

• Drives sales in assigned territory.
• Engages with customers both face to face and virtually.
• Develops and implements effective business and territory call plans.
• Effectively builds rapport and relationships with customers in both live and virtual environments.
• Understands and leverages internal reports and analytics to identify and implement strategic business opportunities.
• Demonstrates strong teamwork capabilities to collaborate effectively across the organization to address customer inquiries and advance Pfizer objectives.
• Completes all administrative expectations on time and compliantly.

Cardiovascular Specialist, Health and Science Professional

• Responsible for all aspects of insurance follow-up and collections, including making telephone calls, accessing payer websites.
• Identify root cause issues for denials; categorize denial reasons and coordinate with clinic and/or with management to ensure process improvements are completed.
• Owns performance and ensures consistent and timely communication for issues identified affecting reimbursement.
• Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary; accurately and thoroughly document the pertinent collection activity performed.
• Review the account information and necessary system applications to determine the next appropriate work activity.
• Verify claims adjudication utilizing appropriate resources and applications.
• Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
• Manage and maintain individual work list/inventory, complete reports, and resolve high priority and aged inventory.
• Stay informed of changes with the procedures and laws for the specific insurance carriers or payers.
• Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.

AR Specialist

• Manage the full billing lifecycle, including project setup, invoice preparation, review, approval, submission, and collection follow-up.
• Prepare, reconcile, and distribute monthly invoices accurately and timely.
• Generate invoices for Firm Fixed Price (FFP), Time & Materials (T&M), Cost Plus, and other government contract types.
• Review contract terms and funding documents to ensure billing compliance and proper invoicing.
• Ensure all Other Direct Costs (ODCs) are properly billed and reconciled to supporting expenses.
• Review and monitor unbilled balances to ensure revenue recognition and billing activity are properly aligned.
• Partner with Program Managers, Contracts, and Operations teams to resolve billing issues and ensure costs are charged appropriately.
• Research, analyze, and resolve billing discrepancies, customer inquiries, and documentation issues.
• Submit invoices through government and customer billing portals, including systems such as WAWF and IPP.
• Monitor accounts receivable aging and proactively follow up with customers to ensure timely collections and cash receipts.
• Assist with month-end close activities, reconciliations, audits, and reporting requirements.

Senior Accounts Receivable Specialist

• Lead and scale our revenue operations
• Responsible for overseeing revenue recognition, billing operations, and collections processes
• Ensure compliance with ASC 606 and drive operational excellence
• Manage an offshore billing and collection team
• Partner cross-functionally with Finance, Sales, Legal, Product, and Operations
• Evaluate complex contracts and ensure proper accounting treatment
• Oversee end-to-end billing processes including invoicing
• Drive automation and scalability of billing systems
• Lead collections strategy to optimize cash flow and reduce DSO
• Oversee accounting for payment processing revenue, fees, and settlements
• Build, mentor, and lead a high-performing revenue accounting, billing, and collections team

Senior Manager, Revenue & Accounts Receivable

• Set-up sales orders/projects for new contracts based on contracted terms
• Process Professional Services, SaaS, Subscription, Marketing Services, and other assorted billings in an accurate and timely manner
• Process annual renewal billings for clients
• Review and ensure all billings have been completed as part of Month End Close
• Works closely with the Accounting Manager II to rectify any possible billing discrepancies
• Assist with payment processing
• Assist with client collections
• Produce various reports as needed
• Respond promptly to client billing inquiries
• Assist with system improvement initiatives, streamlining and automating the billing processes
• Provide backup support to other members of the finance team
• Assist with ad hoc projects / research as needed
• Other duties as assigned

Accounts Receivable Specialist II

• Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up
• Verify eligibility, identify payor changes, and accurately update coordination of benefits (COB); navigate payor portals to identify correct payors
• Make outbound calls and collaborate with insurance payors and partner facility business offices for claim resolution; answer incoming calls professionally
• Identify and communicate denial trends and coding issues to support clean claim processing
• Perform account reconciliation — identify overpayments, complete refund requests, and process insurance takebacks via ERAs
• Resolve assigned worklist items with detailed account documentation; maintain daily AR log reporting to Supervisor and meet department productivity standards

Accounts Receivable Specialist

• Ensure strict HIPAA-compliant confidentiality with all client-related data
• Review customer account reports and follow up to ensure any flags/concerns are notated proactively and communicated to the Customer Billing Advocate (CBA)
• Review A/R Aging Reports and follow up with insurance companies regarding expected reimbursement for outstanding claims
• Notate & document all follow up work on aging claims within A/R Aging Reports as required and documented in standard SOPs
• Meet expectations on deadlines for completion of A/R Aging Reports for each customer supported within POD
• Follow up on denials immediately and communicate any trends to CBA
• Follow up on any open A/R tickets in Salesforce as assigned by CBA
• Meet deadlines assigned for A/R work as assigned by CBA
• Utilize denial management platforms for submission of appeals, reconsideration requests, etc.
• Research specific payor billing rules as needed
• Follow up on claims submitted electronically for primary and secondary payors
• Submit corrected claims when needed
• Attend POD meetings and contribute to agenda items as designated by CBA
• Post payments or submit missing payments to posting team and maintain A/R as assigned
• File appeals to insurance and to insurance commissioner as needed
• Stay informed about Payor and Industry Billing rules
• Review & interpret payor contracts when applicable
• Measure and monitor key metrics related to work performance
• Attend customer meetings as needed with CBA
• Work to meet POD goals collectively as cohesive team
• Foster a positive work environment for colleagues

• responsible for the billing of insurance claims and the resolution of issues preventing the payment of outstanding accounts receivable.
• Requires a strong working knowledge of billing and collection of outstanding AR for all insurance payers.
• Demonstrates a strong knowledge of insurance billing regulations and payer payment practices across all payers.
• A proven track record of effective AR collections or accurate billing of insurance claims.

Accounts Receivable Specialist III

• Manage a portfolio of accounts in order to minimize the risk of bad debt exposure to the company.
• Responsible for account follow-up for all assigned agents, brokers, and customers.
• Resolve billing problems, answering inquiries, and setting up financial arrangements as needed.
• Use collection techniques to keep accounts receivable current including monitoring for delinquent payments.
• Contact agents and customers to negotiate mutually acceptable resolutions to their delinquencies.
• Focus on loss prevention, delinquency minimization, collections productivity and customer service.

• Research and analyze potential customers' credit and set credit limits.
• Set up and maintain customer records.
• Support branch operations regarding customers' accounts.
• Monitor customer accounts - balances and credit lines.
• Communicate with customers to resolve past due payments.
• Collaborate with colleagues to resolve customer issues.
• Business to business collections.
• Responsible for learning and following all applicable procedures and work instructions relating to the Company's quality and environmental system.
• Perform all other duties assigned by the Manager.

Accounts Receivable Coordinator

• Delivers patient care utilizing the nursing process through data collection and assessment
• Identifies and determines the priority of patient’s problems/needs, and evaluates the process and outcome of nursing care
• Coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members
• In collaboration with the interdisciplinary care team, conducts initial and ongoing patient assessment
• Analyzes assessment data, creates a plan of care, implements treatment and evaluates treatment effectiveness
• Administers medications in a safe manner consistent with the State of Practice and Bon Secours Mercy Health policies and procedures
• Serves as point of contact for patients' care coordination throughout hospital departments
• Acts as a patient safety advocate by participating in ongoing quality improvement in the department

Registered Nurse, Physician Practice – Cardiovascular

• Lead and manage end-to-end revenue cycle operations. Including daily productivity and staff assignments.
• Develop strategic initiatives and performance metrics.
• Collaborate with executive leadership and cross-functional teams.
• Integrate technology and data-driven decision-making.
• Ensure compliance with HIPAA, CMS, and payer regulations.
• Implement policies and training for accurate coding and billing.
• Hire, train, and mentor revenue cycle staff.
• Serve as a liaison with providers, insurers, and vendors.
• Provide timely reporting and analysis to leadership.
• Support forecasting and business planning.
• Maintain up-to-date knowledge of industry trends and regulations.
• Address patient complaints and ensure satisfaction.
• Uphold clinic policies and safety standards.

RCM AR Manager

• Collects on past due accounts, consults with AR Manager to discuss payment plans and write offs and legal pursuits.
• Analyzes and inputs cash receipts.
• Follows up with customers on discrepancies, partial payments, missing remittances, and other issues that arise.
• Checks and releases orders for customers who have exceeded credit line.
• Prepare monthly statements.
• Prepares monthly report on status of past due accounts and holds monthly meetings with divisional management to share the results.
• Emails, reviews, mails (when necessary), and files invoices and credits utilizing GetPaid.
• Requests checks of customer credit and sets up new customer accounts.
• Answers accounts receivable inquiries and follows-up.
• Backs up other Accounts Receivable Specialists(s) when needed.
• Establishes alternative payment plans, and recommends write-offs and legal pursuits.

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